Rheumatoid Arthritis –

Early Stages
• joint space
• Juxta-articular osteopenia
• Soft tissue swelling

• Here, we see the first two

present at the PIP joints.
Rheumatoid Arthritis-
Later Stages
•Subluxation of joints.
•Ulnar deviation is more
typical
 Rheumatoid Arthritis-Later Stages

•Marked ankylosis of most

of the carpal bones
 Osteoarthritis

• Joint space
• Subchondral cysts
• Osteophytes
• Subchondral sclerosis
 Osteoarthritis

•“Gull-winging” – central
erosions with peripheral
osteophytes

•Also note ankylosing of DIP

of little finger in this x-ray.
 Osteoarthritis

1st metatarsophalangeal joint

of foot reveals:
• narrowing
•subchondral sclerosis
•osteophyte formation
affecting the.

•mild valgus deformity is present as

well.
 Osteoporosis

•Severe superior migration of

the femoral head (b/c of loss
of articular cartilage)
• Subchondral sclerosis
•Large “Egger cyst” in the
superior acetabulum.
•Mild flattening of superior
aspect of femoral head
 Gouty Arthritis

•Loss of joint space

•“Punched-out” lesions
•“Spurs”
Gouty Arthritis

• Subchondral sclerosis
•Massive swelling of thumb IP
joint
Gouty Arthritis
 Ankylosing Spondylitis
(Bamboo Spine)

Vertebral fusion. Lateral radiograph

shows solid ankylosis of all
cervical facet joints from C2
downwards
 Ankylosing Spondylitis

• Bilateral sacroilitis

• Bilateral complete fusion

sacroiliac joints on frontal x-ray
 Ankylosing Spondylitis

•Squaring of vertebral bodies